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Date Submitted: (Ex: 7/10/18)
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Destination and Facility Specifics if Available: (Physical, 911 Address Required)
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Purpose of Trip: (Why are you going)
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Team(s) you are competing against: (Ex: Michigan, Davidson, Georgia Southern)
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Day, Date, Time of Departure: (Ex: Friday, July 13th, 9:00 am )
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Enter the time your event begins: (Ex: Friday, July 13th, 1:00 pm)
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Day, Date, Time Expected to Return: (Ex: Friday, July 13th, 7:00 pm)
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Housing details (list name of hotel, address, any other details you may have about where your team is staying) enter N/A if team is not staying overnight:
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Contact Name and Number (Ex. John Doe, 123-456-7890)
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Secondary Contact Name and Number: (Jane Doe, 987-654-3210)
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Select all attending:
Behrend, Francesca
Bevilacqua, Anna
Bowen, Grace
Canto, Samantha
Carlisle, Syd
Convery, Elisabeth
Davis, Eva
Gonzalez-Torres, Alyson
Hlavin, Lilli
Huggins, Carla
Laine, Annabelle
Mase, Audrey
Olaleye, Victoria
Simmons, Chloe
Sonntag, Chloe
Stukes, Ryan
Wilkins, Courtney
Irby-Shabazz, Khemel (Amirah)
Skibbee, Olivia
Bussey, Ellie
Holloway, Rachel
Morales Melendez, Stephany
Melina, Jennifer
Wegner, Grace
Pettus, Barbara
Cataldi, Lisabella
Bray, Danasia
Wyatt, Madeleine
Pleasants, Cameron
Anderson, Grace
Dunn, Kara
Cundiff, Leah
Dees, Camille
Fast, Ollie
Sawyer, McKenzie
Drass, Amelia
Stewart, Ava
Dold, Brenna
Beaver, Abby
Stern, Mackenzie
Mangiardi-Querol, Candela
Kelly, Ashtyn
Neilsen, Saisha
Add any other names of those attending that are not listed: (If these participants do not have an MIC on file, they may not travel with the team until they have filled out an MIC and have been cleared by your Executive Officer or Erin Sanders)
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Submitted By:
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By selecting this box you are acknowledging that this form was filled out to the best of your knowledge and you understand that submitting false information could lead to infractions against your team that may result in loss of funding or even suspension. Should any of this information change, you understand that you need to communicate the change to University Recreation as soon as possible as well as note the changes on the competition report form that is to be filled out upon completion of this competition.
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